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Getting a ittle personal with good old robb! lol come one come all,see my insides in glorious monochrome! *I Was Bord With Heart Disease...lol my other ailments came later!* ______________________________________ FINDINGS ______________________________________ Normal systemic venous return. The pulmonary veins appear to enter the left atrium normally. No evidence of pulmonary venous obstruction. Mildly dilated right atrium. There is moderate-severe pulmonary valve regurgitation (RF 37%). The RV outflow tract is severely dilated, with aneurysmal expansion of the thinned anterior wall. There is no focal area of stenosis of the RVOT. The right pulmonary artery stent protrudes into the pulmonary trunk. The stent appears patent and measures 7mm internal diameter, by 2D black blood imaging. The distal RPA is mildly expansile and is of good calibre. The left pulmonary artery origin courses caudally and then posteriorly, but is not stenosed. The combined branch pulmonary flows do not sum match our measured MPA net flow, however, the proportional net forward flow into the branch PA's is approximately RPA:LPA = 40%:60%. The RV is moderately dilated and mildly hypertrophied. The ventricular septum is flattened throughout the cardiac cycle but most prominently in diastole. The RV systolic function is at the lower range of normal (EF 56%). This may partly be attributed to the aneurysmal motion of the anterior RV wall. There is no significant tricuspid valve regurgitation. The LV volumes are normal. The LV systolic function is normal (EF 62%). There is no LVOT obstruction. The aortic root is mildly dilated and appears rotated such that the right coronary artery arises from the leftward anterior facing sinus, and the left coronary artery arises from the posterior facing sinus. The aortic valve is trileaflet and functions normally. The aortic arch is right-sided with a mirror image branching pattern of the head and neck vessels. ______________________________________ CONCLUSION ______________________________________ Moderate pulmonary valve regurgitation (RF 37%). No pulmonary stenosis. Moderately dilated RV, with global indices of systolic function at the lower range of normal. Patent RPA stent, with 40% of forward flow to the right lung. The morphology of the RV outflow tract does not appear suitable for a percutaneous approach to pulmonary valve replacement at the present time. ______________________________________ Bypass surgery in early 2008! ...6 weeks off work,cant complain! more in TAPVD here: http://en.wikipedia.org/wiki/Total_anomalous_pulmonary_venous_connection Bypass surgery: http://en.wikipedia.org/wiki/Bypass_%28surgical%29 Stent(s): http://en.wikipedia.org/wiki/Stent CORONARY ANATOMY: http://en.wikipedia.org/wiki/Coronary_artery VALVE REPLACEMENT: http://en.wikipedia.org/wiki/Valve_replacement VALVE(S) http://en.wikipedia.org/wiki/Aortic_valve http://en.wikipedia.org/wiki/Mitral_valve http://en.wikipedia.org/wiki/Tricuspid_valve http://en.wikipedia.org/wiki/Pulmonary_valve HEART: http://en.wikipedia.org/wiki/Heart http://upload.wikimedia.org/wikipedia/commons/c/c9/3DScience_Human_Heart.jpg (Nice Diagram) http://upload.wikimedia.org/wikipedia/commons/b/b7/Humhrt2.jpg (Actual Human Heart - Male) ______________________________________ ALL IMAGES FREE USE - MY OWN MRI SCAN PICTURES...USED WITH MY PERMISSION! LOL ______________________________________ *REPRODUCTION UNAUTHORISED WITHOUT CONSENT* ______________________________________ UPDATED 3:49 11/12/2007: Honors for This Video: #71 - Most Viewed (Today) - Education - United Kingdom #20 - Top Rated (Today) - Education - United Kingdom #66 - Top Rated (This Week) - Education - United Kingdom #9 - Most Discussed (Today) - Education - United Kingdom 15:16 11/12/2007 #60 - Most Viewed (Today) - Education - United Kingdom #21 - Top Rated (Today) - Education - United Kingdom #68 - Top Rated (This Week) - Education - United Kingdom #11 - Most Discussed (Today) - Education - United Kingdom #87 - Most Discussed (Today) - Education #46 - Most Discussed (This Week) - Education - United Kingdom